title: Modified tubularized incised plate urethroplasty.
abstract: OBJECTIVE
  To share our experience of doing tubularized incised plate urethroplasty with modifications.
  
  
  METHODS
  This is a single surgeon personal series from 2004 to 2009. One hundred patients of distal hypospadias were subjected for Snodgrass urethroplasty with preputioplasty. The age range was 1 to 5 year with mean age of 2.7 years. Selection criteria were good urethral plate, without chordee and torsion needing complete degloving. Main technical modification from original Snodgrass procedure was spongioplasty, preputioplasty, and dorsal slit when inability to retract prepuce during surgery.
  
  
  RESULTS
  Average follow-up period is 23 months. Seven (7%) patients developed fistula and one patient had complete preputial dehiscence. Phimosis developed in three (3%) patients and required circumcision. Dorsal slit was required in seven patients. One patient developed meatal stenosis in postoperative period. All other patients are passing single urinary stream and have cosmesis that is acceptable.
  
  
  CONCLUSIONS
  Modified tubularized incised plate urethroplasty with preputioplasty effectively gives cosmetically normal looking penis with low complications.
authors.affiliation: Department of Pediatric Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, India.
authors.forename: Shivaji
authors.initials: S
authors.lastname: Mane
authors.forename: Jamir
authors.initials: J
authors.lastname: Arlikar
authors.forename: Nitin
authors.initials: N
authors.lastname: Dhende
keywords: Preputioplasty; Snodgrass; spongioplasty; urethroplasty